CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Medstar Good Samaritan Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90791
Insurance Median: $774
Cash Discount Price: $758
vs. Medicare Baseline: 4.27x Medicare

The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Medstar Good Samaritan Hospital is $774. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $758. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 4.27x the Medicare baseline. Located in 5601 Loch Raven Boulevard, Baltimore, MD.

Cash / Self-Pay

$758

Average discount available for prompt cash payment at this facility.

Insurance Median

$774

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $758 (418%)

Insurance Median: $774 (427%)

Cash: $758 (418% of Medicare)

Ins. Median: $774 (427% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 427% of the Medicare baseline (a markup of 327%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$774	427%
Amerigroup	$774	427%
Amerihealth Caritas District Of Columbia	$774	427%
Carefirst Advantage Inc	$774	427%
Carefirst Blue Choice Inc	$774	427%
Cigna	$774	427%
First Health	$774	427%
Hscsn	$774	427%
Humana	$774	427%
Kaiser Permanente	$774	427%
Magellan Behavioral Health Inc	$774	427%
Mamsi	$774	427%
Medstar Family Choice	$774	427%
Medstar Family Choice Inc	$774	427%
Ncppo Healthlink Ppo	$774	427%
Pfc	$774	427%
Private Healthcare Systems (Phcs)	$774	427%
Tricare	$774	427%
United Behavioral Health Inc	$774	427%
UnitedHealthcare	$774	427%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $758.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90791.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medstar Good Samaritan Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90791.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.